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New Patient Forms

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

New Patient Forms

Please print and fill out the New Patient Packet so we can expedite your first visit.

pdf podiatry patient form downloadNew Patient Packet

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office in Lincoln Park (773) 477-3668 or Highland Park (847) 432-6400. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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